Jack E. Hollis in Tucson - Addiction (substance Use Disorder)
Jack E. Hollis - NPI 1376631259
Jack E. Hollis is a Addiction (substance Use Disorder) in Tucson, Arizona. Jack E. Hollis practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jack E. Hollis is 1376631259. The last update date is 2007-07-08.
Jack E. Hollis's current location address is 127 S 5th Ave, Tucson, Arizona. You can contact this provider via phone number 5203274505 and fax number 5202021889. The mailing address for Jack E. Hollis is 127 S 5th Ave, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack E. Hollis |
|---|---|
| Address | 127 S 5th Ave, Tucson, Arizona |
| Phone Number | 5203274505 |
| Fax Number | 5202021889 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1376631259 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 127 S 5th Ave |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857012005 |
| Phone Number | 5203274505 |
| Fax Number | 5202021889 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | LMSW-11007 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identifier code issued to Jack E. Hollis by the Centers for Medicare & Medicaid Services?
The Jack E. Hollis has been assigned the NPI (National Provider Identifier) 1376631259 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jack E. Hollis located?
The Jack E. Hollis is located at 127 S 5Th Ave, Tucson, AZ 857012005.
What is Jack E. Hollis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jack E. Hollis is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
On what date did Jack E. Hollis receive its 1376631259 assignment from the Centers for Medicare & Medicaid Services?
The Jack E. Hollis was assigned its 1376631259 on 2006-10-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jack E. Hollis's details last updated?
The information pertaining to the Jack E. Hollis, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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